Exposure to Intimate Partner Violence,Psychopathology, and Functional Impairment in Children and Adolescents: Moderator Effect of Sex and Age

This work examines the moderator effect of sex and age on the relationship between different types of exposure to intimate partner violence (IPV) and child psychopathology and functional impairment. One hundred and sixty-six Spanish children aged 4 –17 years exposed to intimate partner violence were assessed using a diagnostic interview and other instruments for the measurement of psychopathology and functional impairment. Participants were classified in three groups according to the degree of exposure: witness (N = 77), involved (N = 63) and victim (N = 26). According to mothers’ self-reports and mother-child combined information, boy victims of IPV showed more mood disorders than involved or witness boys. There were no other moderator effects of either sex or age. The effect of exposure to intimate partner violence among children was not dependent, in general, on the child’s sex or age, and this has important implications for the assessment, treatment, and prevention of children’s exposure to IPV.     

Intergenerational Transmission of Violence: the Influence of Self-Appraisals,Mental Disorders and Substance Abuse

Although research has demonstrated connections between experiencing abuse as a child and being in a violent relationship as an adult, the specific mechanisms through which this transmission occurs are unclear. The purpose of this study was to identify the relationship between certain personal factors (self-appraisals and mental/substance use disorders) and experiencing violence as an adult. Data from the National Comorbidity Survey (NCS) 1990–1992 were utilized. Respondents who reported experiencing childhood abuse or victimization and were in a current intimate partnership (N = 590) were selected for analysis. Multivariate logistic regression indicated that low self-esteem, past year PTSD, and past year alcohol dependence were significantly associated with intimate partner violence after controlling for other self-appraisals and mental disorders.     

Predictors of Child Behavior Problems among Children of Female Vietnam Veterans

This study examined the impacts of intimate partner aggression by female Vietnam veterans and their male partners on their children’s behavior problems (N = 100 children). Veteran and partner psychological distress were also examined as potential mediators of these relationships. Results indicated that physical and psychological aggression perpetration by both the female veteran and the male partner was associated with child behavior problems. Contrary to expectations, psychological distress in the veteran and partner was not associated with child behavior problems and did not mediate the effects of physical and psychological aggression on this outcome.     

Perceptions of Safety in Intimate Relationships: Group Differences Based on Gender and Setting

Intimate partner violence continues to be prevalent, resulting in negative consequences for the individuals involved and for society as a whole. Perceptions of safety in relationships where intimate partner violence is present is an understudied topic in the literature. The Safety Assessment of Future Events Scale (SAFE) was developed to assess respondents’ perceptions of safety in their intimate relationship. The purpose of this study was to examine whether group differences existed on respondents’ SAFE scores. 428 participants from community and clinic samples completed the SAFE and other measures contained in a southwest university’s marriage and family therapy clinic intake packet. ANCOVA was used to control for gender and setting in determining if group differences existed on the SAFE based on measures assessing interpersonal violence, relational adjustment, intrapersonal symptoms, and PTSD symptoms. Results indicated group differences based on gender, interpersonal violence victimization, and relational adjustment.     

Articulated Thoughts of Intimate Partner Abusive Men during Anger Arousal: Correlates with Personality Disorder Features

This study extends Eckhardt et al. (Journal of Consulting and Clinical Psychology, 66:259–269, 1998) research on cognitive correlates of anger arousal among intimate partner abusers (IPA; n = 130), distressed/nonviolent (DNV; n = 27), and satisfied/nonviolent men (SNV; n = 21) during a standardized anger induction task by examining variables thought to differentiate batterers. Variables pertinent to the Holtzworth-Munroe and Stuart (Psychological Bulletin, 116:476–497, 1994) typology—borderline and antisocial personality, psychopathy, general violence, and partner violence—were correlated to articulated cognitive distortions. Since between group comparisons were not significant, articulated anger was correlated with antisocial, borderline, and psychopathic features. Borderline personality features correlated positively with articulations reflecting jealousy. Articulated themes were more consistently related to psychopathology than to violence, suggesting that tailoring treatments to personality features of clients may prove fruitful.     

Test–Retest Reliability of the Revised Conflict Tactics Scales (CTS2)

The Revised Conflict Tactics Scales (CTS2) are widely used to measure intimate partner aggression. Various aspects of the CTS2 and its subscales have been examined, e.g. factor structure, internal consistency, and validity, but little or no evidence exists regarding the stability of the self-report of aggression on the CTS2 This study examines the stability of reports of aggression against a partner on the CTS2 among 82 men court-mandated to a batterer intervention program. At both testing times men reported on aggression occurring in the year prior to beginning treatment. Using variety scores, stability of report was strong for psychological aggression (r = 0.69), physical assault (r = 0.76), injury (r = 0.70), and negotiation (r = 0.60), but weaker for sexual coercion (r = 0.30). Implications for the use of the CTS2 in court-mandated populations are discussed.

Marital Satisfaction and Marital Discord as Risk Markers for Intimate Partner Violence: A Meta-analytic Review

A meta-analysis investigating the relationship between marital satisfaction/discord and intimate partner violence (IPV) in heterosexual relationships was conducted with 32 articles. Overall, a small-to-moderate effect size (r = −0.27) indicated a significant and negative relationship existed between marital satisfaction/discord and IPV. Moderator analyses found no differences between effect size based on construct examined (discord or satisfaction). However, the magnitudes of observed effect sizes were influenced by other moderator variables, including the use of standardized versus non-standardized measures, gender of the offender and victim, role in the violence (perpetrator versus victim), and sample type (clinical versus community). The data suggests that gender is an especially important moderator variable in understanding the relationship between marital satisfaction/discord and IPV.     

Decoding Deficits of Different Types of Batterers During Presentation of Facial Affect Slides

The ability to decode emotional cues is associated with both personality disorders and violence. This study investigated whether subtypes of intimate partner abusers differ in their ability to label facial affect displays. Intimate partner violent (IPV; n = 69) and nonviolent (NV; n = 32) men were asked to label slides of facial affect. Cluster analyses classified the IPV men into three different types as per the Holtzworth-Munroe and Stuart (1994; Typologies of male batterers: three subtypes and the differences among them. Psychological Bulletin, 116, 476–497) typology: family-only (FO), borderline or dysphoric (BD), and generally violent or antisocial (GVA). Overall, IPV men did not make more errors decoding facial affect slides than did NV men. However, GVA batterers showed deficits while BD batterers were particularly accurate in identifying emotions. Clinical implications are that emotional recognition skills training techniques may be useful for GVA batterers only.     

Life Stress as Mediator of the Childhood Maltreatment – Intimate Partner Violence Link in Low-Income, African American Women

This study examined the relations between childhood maltreatment, daily life hassles, and intimate partner violence among low-income, suicidal, abused African American women (N = 208). Findings indicated a significant association between childhood maltreatment and intimate partner violence, such that women who experienced childhood maltreatment were more likely to experience intimate partner violence as adults than those who reported no childhood maltreatment history. Also, results from bootstrapping analyses revealed that daily life stressors mediated the link between childhood maltreatment and both physical and nonphysical forms of intimate partner violence. These findings highlight the importance of thoroughly assessing for a history of childhood maltreatment, current intimate partner violence, and the nature and extent of daily hassles when working with low-income African American women, as well as helping abused women with a history of childhood maltreatment to cope effectively with the daily life hassles that they encounter.     

Risk for Partner Victimization and Marital Dissatisfaction Among Chronically Depressed Patients

The link between marital dysfunction and depressive symptoms has been well established, but the link between partner violence and depressive symptoms is less clear. Further, little is known about partner violence and marital satisfaction in chronically depressed patients. In this multi-site treatment sample of chronically depressed patients (N = 316), approximately 17% of men and 12% of women reported experiencing physical victimization from their partner in the past year. However, physical victimization was not associated with the severity of depression for men or women. Cross-sectional path analyses indicated that depressive symptoms predicted marital dissatisfaction, which in turn, predicted psychological victimization. Further, psychological victimization predicted physical victimization. With chronically depressed individuals, interventions that address both depression and marital dissatisfaction may prevent psychological and physical victimization.     

Personality Disorder Symptoms in Women as a Result of Chronic Intimate Male Partner Violence

This study explores the personality disorder symptoms of women victims of intimate male partner violence (IPV), after controlling for the contribution of experiences of childhood abuse. Victims of both physical and psychological violence (n = 73) or psychological violence alone (n = 53) were compared with non-abused control women (n = 52). Information about sociodemographic characteristics, childhood abuse, and personality characteristics (MCMI-II) was obtained through face-to-face structured interviews. Women victims of IPV had higher scores than controls in schizoid, avoidant, self-defeating personality scales, as well as in the three pathological personality scales (schizotypal, borderline and paranoid). Both physical and psychological IPV were strongly associated with personality disorder symptomatology, regardless of the effects of childhood abuse. These findings underscore the need to screen for personality disorder symptoms in women victims of IPV when dealing with therapeutic interventions.     

History of Abuse and Current Suicidal Ideation: Results from a Population Based Survey

The relationship between a history of physical or sexual abuse and current suicidal ideation was examined in the current study based on data from the Washington state 2002 Behavioral Risk Factor Surveillance System (BRFSS). Out of the total sample of 4081, 1058 indicated they had experienced either physical or sexual abuse before the age of 18, 52 indicated they had experienced physical abuse in the past 12 months, and 210 indicated they had been forced to have sex since the age of 18. Additionally, 106 indicated they had seriously considered committing suicide in the past year. After controlling for such factors as age, gender, income, education, race, employment and marital status and the interactions between different abuse risk factors using multivariate logistic regression, results showed that a history of childhood physical (OR = 2.31, 95% CI = 1.364, 3.90) or sexual (OR = 2.72, 95% CI = 1.58, 4.67) abuse and adult physical (OR = 27.30, 95% CI = 11.64, 64.01) or sexual (OR = 5.87, 95% CI = 3.24, 10.63) abuse all were related to current suicidal ideation. Implications for future research are discussed.     

The Timeline Followback Interview to Assess Children’s Exposure to Partner Violence: Reliability and Validity

This study evaluated psychometric properties of the Timeline Followback interview—Children’s Exposure to Partner Violence (TLFB-CEPV), an event history calendar interview designed to assess children’s exposure to daily patterns of intimate partner violence. Participants were men (N = 107) entering batterer’s treatment, their female partners, and a custodial child (6–16 years). The TLFB-CEPV asked about days of partner physical aggression and children’s exposure to these episodes, and was administered to partners at pretreatment, posttreatment, 6 and 12 months. At each assessment, the percentage of days of any child exposure (PAE) and of children’s direct exposure (PDE) to violence were calculated. Parents completed measures of partner aggression and social desirability; parents, teachers, and children completed measures of children’s adjustment. TLFB-CEPV scores had excellent temporal stability and strong evidence of concurrent, discriminant, and criterion validity. Interrater agreement for TLFB-CEPV scores was moderate at initial assessment, but high at subsequent follow-up interviews. This project was supported, in part, by grants from the National Institute on Drug Abuse (R01DA12189, Fals-Stewart), the Alpha Foundation, and Old Dominion University.     

Single Types of Family Violence Victimization and Externalizing Behaviors Among Children and Adolescents

Prior research has provided substantial evidence that child maltreatment and exposure to physical intimate partner violence (IPV) are associated with increased externalizing behavior problems among children and adolescents. However, little is known about the effects of exposure to psychological IPV and exposure to the physical abuse of a sibling. Using a total sample (N = 2,572) and subsample (n = 441) of children ages 3–18 years old, the purpose of this study was to assess whether cumulative types of family violence lead to higher mean externalizing behavior scores and to examine the effects of single types of indirect and direct family violence on children’s mean externalizing behavior scores. Results confirmed that children who experienced any type of family violence victimization had higher mean externalizing behavior scores compared to children with no history of family violence; however, few differences in externalizing behavior scores were found as the number of family violence types increased. Children who experienced indirect types of family violence (e.g., exposure to the physical abuse of a sibling) had higher externalizing behavior scores than children who experienced direct maltreatment (e.g., child physical abuse). Findings from this study suggest that researchers and service providers should adopt a broader conceptualization of family violence victimization and increase the amount of services provided to children who are indirectly victimized.     

Does Controlling Behavior Predict Physical Aggression and Violence to Partners?

Using data obtained from women’s shelter residents, male and female students, and male prisoners, this study investigated the association between non-violent controlling behaviors, physical aggression, and violence towards a spouse (N = 264). It was predicted that only men and women involved in intimate terrorism (Johnson, Violence Against Women, 11(12):1003–1018, 2006) would use controlling aggression, and that physical aggression used by those involved in situational couple violence would be unrelated to controlling behavior. Contrary to predictions derived from Johnson’s theory, regression analysis showed that control accounted significant proportions of the variance in the use of physical aggression for all three relationship categories. Some support was provided, however, as it was found that the pattern of both interrelationships of the five types of controlling behaviors, and control and physical aggression, supported Johnson’s distinction.     

Examining Factors Co-Existing with Interpersonal Violence in Lesbian Relationships

Interpersonal violence within lesbian relationships is a significant yet understudied problem. Women attending a gay pride festival in Atlanta, GA, were asked to complete a survey concerning same-sex interpersonal violence. Women who reported being in a current or previous same-sex partner relationship were included in the analyses (N = 226). Factors that occurred in the context of interpersonal violence were investigated: substance use, HIV/STI risk behaviors, barriers to reporting abuse, and attitudes inhibiting seeking of social support. In addition, the survey assessed relationship-related power dynamics. Results of multivariate analyses support the hypotheses that power imbalance and inequality when making sex-related decisions within women’s same-sex relationships are associated with interpersonal violence. Further findings suggested that a combination of factors must be considered when dealing with and reducing the risk for violence in same-sex relationships.     

Assessing Readiness to Change among Perpetrators of Intimate Partner Violence: Analysis of Two Self-report Measures

Recent interest in the construct of motivation to change among male perpetrators of intimate partner violence (IPV) has led to development of two self-report measures of this construct: the University of Rhode Island Change Assessment for Domestic Violence (URICA-DV; Levesque et al. 2000) and the Safe at Home Inventory (SAH; Begun et al. 2003). We examined the internal structure of these instruments using confirmatory and exploratory factor analyses in a sample of 199 male IPV perpetrators waiting to begin court-mandated batterer intervention programs. Results indicated that the scales had adequate internal consistency. However, using confirmatory factor analyses, the hypothesized structural models of each instrument fit the data poorly. Subsequent models suggested by a series of exploratory factor analyses failed to improve model fit substantially for both scales. For the URICA-DV, a 3-factor model including items from the Precontemplation, Contemplation, and Action subscales fit the data adequately. No acceptable model fit could be found for the SAH. Intercorrelations among similar subscales across the two inventories suggested only a modest degree of intercorrelation (r’s = 0.16–0.52), and a factor structure more dependent on scale of origin than item latent content, suggesting that the scales assess different facets of the readiness to change construct. These results suggest that before the stages of change construct can be fully applied to the IPV area, more research and evaluation are needed on how to accurately assess abuser readiness to change.     

Perceived Risk for Future Intimate Partner Violence among Women in a Domestic Violence Shelter

Research investigating women’s risk assessments for intimate partner violence (IPV) shows that women can predict future violence with relative accuracy. Limited research has investigated factors that are associated with perceived risk and the potential behavioral consequences of victim risk perception. Results from a survey of women in a domestic violence shelter (N = 56) indicated that women perceive lower risk of future violence if the abusive relationship were to end and higher risk of violence if it were to continue. Certain abuse experiences were related to elevated perceptions of personal risk for future violence. Further, perceived personal risk predicted the women’s intention to terminate their relationship upon leaving shelter. Results are discussed as they may inform interventions preventing IPV.